文档介绍：1““醒脑开窍醒脑开窍””针刺法的临床应用针刺法的临床应用 The Clinical Practice on XNKQ Acupuncture 郑健刚郑健刚博士博士天津中医药大学第一附属医院天津中医药大学第一附属医院 Zheng Jian--Gang The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine ““醒脑开窍醒脑开窍””针法针法简介简介 Introduction of XNKQ Acupuncture Introduction of XNKQ Acupuncture “醒脑开窍”针法是石学敏院士 1972 年针对中风病的基本病机,即瘀血、肝风、痰浊等病理因素蒙蔽脑窍导致“窍闭神匿,神不导气”而提出的治疗法则和针刺方法。 XNKQ Acupuncture is raised by Shi Xue-MIN Academician in 1972. It aimed at the basic pathogenesis, such as blood stasis,liver wind,phlegm which lead to orifices closed , consciousness lost and Qi-disorder. 在选穴上以阴经和督脉穴为主,并强调针刺在选穴上以阴经和督脉穴为主,并强调针刺手法量学规范,有别于传统的取穴和针刺方法。手法量学规范,有别于传统的取穴和针刺方法。 The points on Yin meridians and Du meridian are mainly selected and standard quantitative manipulations are applied emphatically, which are quite different from traditional point selection and acupuncture manipulations in treatment of stroke. 治疗方法 Treatment : 内关(手厥阴心包经)人中(督脉)三阴交(足太阴脾经) 1. Point Prescription Mainpoints: Neiguan(PC 6,the Pericardium Meridian of Hand-Juejin) Renzhong(DU 26,the DU Meridian) Sanjinjiao(SP 6,the Spleen Meridian of Foot-Taiyin) 辅穴: 极泉(手少阴心经)委中(足太阳膀胱经)尺泽(手太阴肺经) Supplementary points : Jiquan(HT 1,the Heart Meridian of Hand-shaoyin) Weizhong(BL 40,the Bladder Meridian of Foot- Taiyang) Chize(LU 5, the Lung Meridian of Hand-Taiyin ) 配穴: 吞咽障碍加风池、翳风、完骨;手指握固加合谷;语言不利加上廉泉,金津、玉液放血;足内翻加丘墟透照海。 Point Modification : For difficulty of swallowing, Fengchi(GB 20),Yifeng(SJ 17) and Wangu(GB 12) are added. For failing to extend fingers with stiffness, Hegu (LI 4) is added. For slurred speech, Shanglianquan(EX-HN) is added, and Jinjin(EX-HN 12) and Yuye(EX-HN13) are used with blood-letting method. For strephenopodia, rating method from Qiuxu(GB 40) to Zhaohai(KI 6) is used. Manipulation 内关 Neiguan (PC 6) 直刺 ~ 1寸,采用捻转提插结合泻法,施手法 1分钟; First puncture bilateral Neiguan(PC 6) perpendicularly for -1 cun, binative reducing method of lifting-thrusting and twirli